…a major injury proximal to the puncture site. A joint prosthesis or orthopaedic metalwork in the area. A previous intraosseous attempt in the same bone…

…needle of 0.8–1.2 × 50 mm for large joints (knee, shoulder), 0.5–0.6 × 25 mm for small joints (wrist, finger joints)…

…rehabilitation possible, not an alternative to it. See the separate guide to joint aspiration and injection. Indications Condition Injection site Comment : : : Subacromial bursitis, rotator cuff…

…elbow, finger, patella, jaw or hip prosthesis. A dislocation with neurovascular compromise or skin tenting — reduce promptly, before radiography. The longer a joint remains dislocated…

…apart. A wound through the full thickness of the dermis, particularly over joints and in cosmetically sensitive areas. Superficial wounds with well apposed edges, abrasions…

…3. Introduce the nasal speculum with the handle parallel to the floor and the index finger supported against the patient's nose and cheek . Open…

…lower tip of the muscle insertion. 3. Stretch the skin with the thumb and index finger, or compress the muscle in a slim patient. 4…

…Open the mouth, introduce the mask with the aperture facing the tongue and follow the hard palate with your index finger as a guide. 5…

…an iodine solution. Lidocaine 10 mg/mL without adrenaline for the block (adrenaline is safe in fingers and toes according to modern data, but there…

…10 mg/mL with adrenaline 5 µg/mL (adrenaline gives a bloodless field and a longer duration; it is safe even on the fingers, toes…

…towards the cavernous sinus Surgeon or ENT; often antibiotics Palm, fingers, tendon sheaths Deep compartments and tendon sheaths, loss of function Orthopaedic or hand surgeon…

…a patient with peripheral arterial disease or diabetes — the wound may not heal. Over superficial nerves (the lateral aspects of the fingers, the ulnar groove…

…less reliable in the hypoglycaemic range. Poor peripheral circulation, cold fingers, sampling errors and contamination can give erroneous values. If the measured value does not…

…while remaining fingers stabilize the grip. The transducer tends to glide out of position due to the gel. One or two fingers may be placed…

…likelihood of successful defibrillation is high in coarse VF (the early phase), but diminishes rapidly as the waveform becomes finer (Figures 2, 3 and 4)…